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<br />I III <br />CITY qF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 aT. St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />JOB ADDRESS <br /> <br /> <br />DATE RECE IVED <br /> <br />/1)-:;;1)-0> <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br />J <br /> <br /> <br />PHONE '3( 3 -73;) -5'771 <br /> <br />PARCEL ID 1# <br />WORK PROPSED: [JNEW CONSTRUC ION <br />[J SIGN <br /> <br />SUBDIVISION <br /> <br />CO 1 <br />[J ADDITION <br />. [J MOVE <br /> <br />[JALTERATION <br />[J DEMOLISH <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />PROPOSED USE: OSGL FAMILY D EILLING OMULTI-FAMILY 0# OF UNITS <br />o COMMERCIAL 0 INDUSTRIAL OSWIMMING POOL <br />CI 4STAURANT . HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK c9. LI 9C" ( ,'Sh 1A.)-:) I ~ f'e:: - \'00 f <br /> <br />o MOBILE HOME <br />[J OTHER <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT <br />COMMERCIAL: ATTACH (3) SETS <br />IF SIGN PERMIT ONLY (2) SET <br />PROPERTY SURVEY <br /> <br />PLANS & (2) SETS OF BUILDING PLANS <br />OF BUILDING PLANS & (1) SET ENERGY <br />10F ENGINEERED PLANS REQUIRED. <br />REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />o BUILDING <br /> <br />J, <br />$ <br /> <br /> <br />.PERMITS REQUESTED <br />~L? VALUATION OF TOTAL CONSTRUCTION <br /> <br />5OL(1 <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />D. PLUMBING <br /> <br />" , ,I <br /> <br />"'0 MECHANI~/ $ <br />[J GAS .GJ{OO~I~G J : [J SPECIALT <br /> <br />TYPE OF,CONSTRUCTION: [J BLOCK <br /> <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />COWrRACTOl~,:fi SI1C~fO}if <br />~.., .....':.:~ ;.. l.. '.L.:,:'..... .~-.."<\;: .;.I1:'.......~ -.....' "'::1{., '. . ~ _.. . .'_ ..'._ Co ..L..... ,"' <br /> <br />COMPANY <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />t:c -CLJSK/.Jc/ <br /> <br />************************************************ <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />i <br /> <br />I <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST 1# <br /> <br />PLUMBER <br /> <br />*****************t~*********************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />i <br /> <br />STATE CERT OR REGIST 1# <br /> <br />MECHANICAL <br /> <br />* * * * * * * * * * * * * * * * * ~ *,* * * * * * * * * * * * * * * * * * *" * * * * * * * *""" *"" * * * *" * * * * * * * * <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST 1# <br /> <br />***************** ., ********************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST 1# <br />